Please use this identifier to cite or link to this item: https://hdl.handle.net/1/2669
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dc.contributor.authorVassiliadis, Rachel M-
dc.date.accessioned2024-07-04T04:31:05Z-
dc.date.available2024-07-04T04:31:05Z-
dc.date.issued2024-06-16-
dc.identifier.citationOnline ahead of printen
dc.identifier.issn0310-057Xen
dc.identifier.urihttps://hdl.handle.net/1/2669-
dc.description.abstractA 32-year-old multigravida woman, with known familial hypokalaemic periodic paralysis, underwent spinal anaesthesia for an elective lower segment caesarean section. There are several case reports in the literature discussing the optimal anaesthetic technique. In the past there has not been an emphasis on aggressive and early potassium replacement. A target level to commence replacement of potassium at 4.0 mmol/L or less is proposed. Careful preoperative preparation, frequent perioperative monitoring and early potassium replacement resulted in no perioperative episodes of weakness in this case, in contrast with other case reports where potassium was either not monitored or not replaced early enough, resulting in postoperative attacks. Another factor to consider in hypokalaemic periodic paralysis is the avoidance of triggers, including certain medications. Misoprostol was used in this instance to avoid potential electrolyte derangements from other uterotonics.en
dc.description.sponsorshipAnaesthesiaen
dc.subjectAnestheticsen
dc.subjectAnaestheticsen
dc.titleAnaesthetic management of a parturient with hypokalaemic periodic paralysis for caesarean section: A case report and review of the literatureen
dc.typeJournal Articleen
dc.identifier.doi10.1177/0310057X231178840en
dc.description.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/38879798en
dc.description.affiliatesCentral Coast Local Health Districten
dc.description.affiliatesGosford Hospitalen
dc.identifier.journaltitleAnaesthesia And Intensive Careen
dc.type.studyortrialCase Series and Case Reportsen
dc.type.contentTexten
item.cerifentitytypePublications-
item.openairetypeJournal Article-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
Appears in Collections:Health Service Research
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